Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902169774 Individual Practitioner Male Practitioner

Dr. Shane Mark Douglas , DDS

Dentist • Rocklin, CA

Professional Overview & Biography Verified Profile Summary

Dr. Shane Douglas, DDS is a registered healthcare professional specializing in Dentist in Rocklin, CA. Practice services are available at 3700 ATHERTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3700 Atherton Rd

Rocklin, CA 957653717

Telephone 9166264050
Associated Practice Facility / Clinic
🏢 Douglas And Kloss Dental Facility NPI 1447591987

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Rocklin, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
32 Specialists

Practicing in Rocklin, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 61439

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1962950204

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2013

Registered at 3700 ATHERTON RD, ROCKLIN, CA 957653717 (Tel: 9166264050)

📍
Updated Business Mailing Address December 02, 2013

Registered at 3700 ATHERTON RD, ROCKLIN, CA 957653717 (Tel: 9166264050)

👤
Provider Name / Credentials Updated December 02, 2013

Recorded as SHANE DOUGLAS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2013

Dentist (License #61439 in CA)

🟢
Initial NPI Registration & Enumeration June 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902169774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2012
Last Update: December 02, 2013
Sole Proprietor: No

Mailing Address

3700 Atherton Rd

Rocklin, CA 957653717

Phone: 9166264050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.